DR. JANISSA JACKSON, PHD

Psychologist - Clinical Child & Adolescent

Active Individual
NPI: 1043365620

Practice Address

5401 ROGERS AVE STE 201
Fort Smith, AR 72903

Phone: (479) 242-4560

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X No 07-01P (AR)
Psychologist - Clinical Child & Adolescent 103TC2200X Yes 07-01P (AR)

Frequently Asked Questions

NPI 1043365620 is the National Provider Identifier for DR. JANISSA JACKSON, PHD, a Psychologist - Clinical Child & Adolescent provider located in Fort Smith, AR. This NPI was enumerated on January 24, 2007.
DR. JANISSA JACKSON, PHD practices at 5401 ROGERS AVE STE 201, Fort Smith, AR 72903.

Quick Facts

NPI
1043365620
Type
Individual
Enumerated
Jan 24, 2007
Last Updated
Oct 17, 2024

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